Trinity Health Life Pennsylvania, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

TRINITY HEALTH LIFE PENNSYLVANIA, INC.

Doing business as

Mercy LIFE - West Philadelphia

Practice address

4508 Chestnut St
Philadelphia, PA 19139-3608

Phone

(215) 573-7200

NPI assigned

Mar 3, 2016

Organization subpart

Yes

Parent organization

TRINITY HEALTH LIFE PENNSYLVANIA, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Anne M Lewis

Title

Vice President Strategy and Growth

Phone

(406) 669-3332

Specialties & licenses 1

Addresses

Other names 1

• Mercy LIFE - West Philadelphia Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Trinity Health Life Pennsylvania Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1710347661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20255 VICTOR PKWY",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527018",
            "telephone_number": "734-343-0717",
            "fax_number": "248-347-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "215-573-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH LIFE PENNSYLVANIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH LIFE PENNSYLVANIA, INC",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT STRATEGY AND GROWTH",
        "authorized_official_telephone_number": "406-669-3332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy LIFE - West Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phuong Ngoc Trinh, M.D
• Sophia Trinh
• Afra Guia Antoinette Trinidad
• Vanessa Trinidad, RN
• Trinite Fleet,LLC
• Trinity Health Mid Atlanic
• Trinity Health Mid-Atlantic Medical Group (THMA MG Family Medicine Holme)
• Trinity Health Mid-Atlantic Medical Group
• Trinity Health Mid-Atlantic Medical Group (Nazareth Health Residency Center)
• Trinity Health Mid-Atlantic Medical Group (THMA MG Primary Care Eastwick)

• PACE Provider Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• PACE Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.